This paper evaluates the role of leadership in the NHS in times of austerity, times that are characterised by budgetary cuts and privatisation. As state employees, the role of today’s NHS leaders is to enforce austerity measures by administering thought and praxis, socially reproducing, at micro-levels, ideologies and politics that are circumscribed by the government that employs them. The paper inspects the moral worth of NHS leaders and the mechanisms they utilise upon the workforce to enable them to take forward austerity, that is, to fulfill their role.

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